| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
755 |
754 |
$65K |
| E0601 |
Continuous positive airway pressure (cpap) device |
325 |
324 |
$25K |
| A7030 |
Full face mask used with positive airway pressure device, each |
101 |
101 |
$13K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
320 |
319 |
$7K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
324 |
322 |
$2K |
| A7037 |
Tubing used with positive airway pressure device |
52 |
52 |
$1K |
| A7035 |
Headgear used with positive airway pressure device |
12 |
12 |
$280.97 |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
13 |
13 |
$232.91 |